Minutes from the Discipline Meetings – March 23,2018

Exercise Discipline Meeting   2018 NCCRA Exercise Discipline Meeting Minutes
If you have any questions please contact our Exercise Discipline chair:

Angela Lanier, MS ACSM-CEP
Clinical Exercise Physiologist, Cardiopulmonary Rehabilitation
Iredell Health System
557 Brookdale Drive
Statesville, N.C.  28677
704-878-4558 ext 3442
704-878-4951 (Fax)


Nutrition Discipline Meeting NCCRA Symposium Nutrition Discipline Minutes.docx 2018
If you have any question please contact our Nutrition Discipline chair:

Judith M. Hinderliter, MPH, RD, LDN, CPT
UNC Wellness Centers at Meadowmont
Registered Dietitian/Nutritionist Cardiac Rehabilitation
100 Sprunt Street
Chapel Hill, NC 27517
Co-director Wellness and Cardiovascular Nutrition subunit, SCAN dietetic practice group
Nutrition Discipline Chair, NC Cardiopulmonary Rehab. Assoc.
T 919.614.5704     F 984.974.2591


CMS documents updated 04-2018

LCD Cardiac Rehab March 2018

Pulmonary Rehab LCD Jan 2018

SET decision memo

Updated NCCRA bylaws


Other Educational Opportunities from our sister organizations

If you aren’t able to join us in Chapel Hill on March 22-23, 2018 – perhaps you can attend the symposiums around us.

South Carolina 2018 Cardio Brochure SCACVPR

Virginia  2018 VACVPR Conference Brochure

Proposed Readoption/Amendment of Certification of Cardiac Rehabilitation Programs – NC DHHS

Attached is the NC Department of Health and Human Services – Proposed Readoption/Amendment of Certification of Cardiac Rehabilitation Programs –  Rules – 10A NCAC 14F

The period of public comment is from December 15, 2017 – February 13, 2018 with a public hearing scheduled for January 2nd at 11:00am in Raleigh.


Rather than having each program respond with comments, we would suggest you forward suggestions/comments to Connie Paladenech –  cpaladen@wfubmc.edu


Connie has agreed to “gather” all comments/suggestions to take to the public hearing on January 2nd.  In this way we can bring comments/suggestions from our affiliate membership of approximately 70+ programs.  


You may send your comments/suggestions individually, but we would ask that you cc them to Connie as well, so she can see what is being suggested.  

InterestedParties Readopt14F w Rule

CMS finalizes the cancellation of the Episode Payment Models and Cardiac Rehabilitation Incentive Payment Model

Today, the Centers for Medicare & Medicaid Services (CMS) finalized the cancellation of the mandatory hip fracture and cardiac bundled payment models that were to be operated by the CMS Innovation Center and implemented changes to the Comprehensive Care for Joint Replacement (CJR) Model. These changes will offer greater flexibility and choice for hospitals in providing care to Medicare patients.

“While CMS continues to believe that bundled payment models offer opportunities to improve quality and care coordination while lowering spending, we believe that focusing on developing different bundled payment models and engaging more providers is the best way to drive health system change while minimizing burden and maintaining access to care. We anticipate announcing new voluntary payment bundles soon,” said CMS Administrator Seema Verma.

In the final rule, CMS is reducing the number of mandatory geographic areas participating in CJR from 67 areas to 34 areas. As part of the agency’s ongoing commitment to addressing the unique needs of rural providers, CMS is also making participation voluntary for all low volume and rural hospitals participating in the model in all 67 geographic areas. This regulation also includes an Interim Final Rule with Comment Period, in which CMS is establishing and seeking comment on a final policy to provide flexibility in determining episode costs for participant hospitals located in areas impacted by extreme and uncontrollable circumstances, such as the major hurricanes of 2017.

CMS is also finalizing the cancelation of the hip fracture and cardiac bundled payment and incentive payment models – the Episode Payment Models and the Cardiac Rehabilitation Incentive Payment Model – that were scheduled to begin on January 1, 2018. Not pursuing these models gives CMS greater flexibility to design and test innovations that will improve quality and care coordination across the in-patient and post-acute care spectrum.

Moving forward, CMS expects to increase opportunities for providers to participate in voluntary initiatives rather than large mandatory bundled payment models. The changes in the final rule will help position the agency to engage in future voluntary efforts.

For a technical fact sheet on the changes in this final rule and interim final rule with comment period, please visit: https://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/2017-Fact-Sheet-items/2017-11-30.html.

Recordings from the Piedmont Regional Meeting

Connie Paladenech

Jeff Soukup

Michelle Ray

Mike Dunlap

Taylor Stroud

Slides from Recent Regional Meetings

The Piedmont and Mountain regional meetings occurred last month and we are pleased to share some of the great content from those meetings.

Nutrition for rehab patients – MRay
Keeping science in the exercise Soukup J
Lung Function
Emotional Health (Cardiopulmonary) Recovered
6MWT Mistakes (10-19-17)

We appreciate our Vice Presidents and how they hard they work to create these informative meetings!  The next regional meeting will be the Coastal Regional Meeting which will be held on Dec 5th from 8-1 at Cape Fear Valley Hospital in Fayetteville, NC.  For more information please contact our regional Vice President (candace.e.langston@gmail.com).



Message from our New Exercise Discipline Chair

As the newly appointed Exercise Discipline chair, I encourage you all to attend your regional meetings this month.  It is always beneficial to meet, network and receive up to date information within our specific discipline and region.  If topics should arise during the regional sessions that you feel may need more discussion, please email me and I will get the conversation started.

In addition, if you have questions or comments throughout the year pertaining to our exercise discipline or Cardiopulmonary Rehab  please feel free to email and I will do my best to help answer your questions or get others involved who may know more about the specific topic.

Thank-you for you time and your continued dedication to our field of study and Cardiopulmonary Rehabilitation.

Angela Lanier, MS ACSM-CEP

Clinical Exercise Physiologist, Cardiopulmonary Rehabilitation
Iredell Health System
557 Brookdale Drive
Statesville, N.C.  28677
704-878-4558 ext 3442
704-878-4951 (Fax)|

Resources available through American Heart Association